Azzolino, Stacey C

Azzolino, Stacey C is an individual health care provider with primary practice located at 12190 Cortez Blvd , Brooksville FL 34613-5578. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Azzolino, Stacey C can be contacted via phone (352) 597-1206.

Contact Information

Primary practice address
12190 Cortez Blvd Brooksville FL 34613-5578
Phone: (352) 597-1206
Fax: (352) 597-1208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 009719-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 25MP00122900 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X PA9115496 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9115496 Florida

Profile Details

NPI number 1770796625
LBN Legal business name Azzolino, Stacey C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Feb 23rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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